Caloptima $50,000 jobs in Orange, CA

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Administrative Manager III - California ...

Orange County, CA - Orange County, CA
to external stakeholders including local hospitals and medical providers, CalOptima, Regional Center, Local Education Agencies, and State agencies DESIRABLE... $44.34 - $77.87 an hour
5 days ago - save job - email - more...

Licensed Clinical Case Manager/URC

Beacon Health Strategies, LLC - Orange, CA
necessity criteria as prescribed by the Orange County Mental Health Plan and CalOptima. Interacts with physicians and other members of the provider clinical...
5 days ago - save job - email - more...

Program Specialist (GARS)

CalOptima 5 reviews - Orange, CA
to which assigned, with other departments within CalOptima, as well as others such as members or providers... interact as needed with CalOptima Information Systems...
6 hours ago - save job - email - more...

Inpatient/Concurrent Review Case Manager

OfficeWorks, Inc - Orange, CA
recognized criteria Milliman/Interqual, etc. required. Knowledge of NCQA, CalOptima, Medicare, Healthplan, DHS and State standards and other regulatory... $28 - $35 an hour
5 days ago - save job - email - more...

Analyst, Sr. (Process Excellence)

CalOptima 5 reviews - Orange, CA
This position is responsible for supporting performance improvement opportunities and successful implementations within the organization using specific process...
1 day ago - save job - email - more...

Pharmacy Services Specialist (Prior Authorizations)

CalOptima 5 reviews - Orange, CA
utilize computer and appropriate software and interact as needed with CalOptima Information Services. Required Experience Experience & Education 2+ years of...
6 days ago - save job - email - more...

Manager, Claims (Analytics)

CalOptima 5 reviews - Orange, CA
of business for which CalOptima has claims processing... CalOptima departments in analyzing the organizational impact and implementation of assigned CalOptima...
6 hours ago - save job - email - more...

Medical Case Manager (Long Term Care)

CalOptima 5 reviews - Orange, CA
providing ongoing case management services for CalOptima members in LTC Facilities. The LTC Case Manager... of the Medicare and CalOptima programs. Registered...
19 days ago - save job - email - more...

HR Representative (Analyst)

CalOptima 5 reviews - Orange, CA
utilize computer and appropriate software and interact as needed with CalOptima staff. Implement project plans to ensure resources, tasks, times and...
12 days ago - save job - email - more...

CalOptima MediCal Project Manager

St. Joseph Heritage Healthcare 19 reviews - Orange, CA
in providing network services in support of all CalOptima Programs including Medi-cal Expansion and Dual... Exchanges. Meet with CalOptima and IEHP staff at...
30+ days ago - save job - email - more...
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